Sandy Lum University of Toronto Candidate MHSc in Clinical Engineering The Totally Integrated...
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Sandy LumUniversity of TorontoCandidate MHSc in Clinical Engineering
The Totally Integrated Electronic Patient Record (EPR)
Problem
Unconnected islands of hardware, software and
data ADT PACs, RIS Cardiac Data Management Systems Medical Devices
ADT PACS
CLINICAL FUNCTIONALITY
CLINICIANFRUSTRATION
NAVIGATIONALCOMPLEXITY
CARDIOLOGYDATAMngt.
Problem
Access to patient information isn’t quick or easy Multiple user ids/passwords to remember Not all available clinical information is being used
Solution
A Totally Integrated EPR
Integrated EPR - Goals
Complete and dynamic clinical information Real-time access to ALL information and active
clinical functionality any time, anywhere, and from any device
Efficient workflows and processes that adapt to a changing health care environment
Improve security and privacy of health records Improved quality of care and patient safety
Barriers
Information stored in silos Vendor Compliance
Proprietary protocols Legacy systems
Incompatible standards
Achieving Integration
DICOM
IHE Integration
CCOW
HL7
CCOW
Applications are visually integrated when they work together in ways that the user can see in order to enhance the user's ability to incorporate information technology as part of the care delivery process.
Integrating Health Enterprise (IHE)
Promotes coordinated integration of information systems throughout the healthcare enterprise (IHE Technical Framework)
Defines implementation profiles for the transactions between information systems
Patient synchronized applications Enterprise User Authentication
Demonstrate efficiency and increased functionality of interoperability
Current Integration Options
Portals Web based integration of disparate systems
Current Integration Options
Visual Based Integration
Medical Devices
Infusion Pumps Patient Monitors Dialysis Equipment Bar-coding Applications
Medical Administration Records
Significance
Increasing need to capture information electronically Need to be aware of IT constraints in equipment
selection How are we going to get vendor compliance?
Conclusions
A fully integrated information system will provide caregivers with tools :
Improve patient safety Support the delivery of effective patient care Facilitate management of chronic conditions Improve workflow efficiencies
Increase utilization of Patient Records by reducing user frustration
Questions?